CommercialCoverageMedium impact
Upcoming CareFirst Formulary Updates Effective July 1, 2023
CareFirst BlueCross BlueShield·Pharmacy
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield is implementing formulary updates effective July 1, 2023, which may include drug additions, tier changes, utilization management changes, and medication removals. These changes will affect prescription benefits for CareFirst members and may impact medication coverage and prior authorization requirements.
Action Required
By July 1, 2023: Clinical and billing staff should review the CareFirst formulary updates summary document to identify specific medication changes affecting their patients. Update prescription protocols and inform providers of any new prior authorization requirements or tier changes. Monitor for potential claim denials related to formulary changes.